Practicing CMR in the COVID-19 Era
|
|
|
Dear Friends and Colleagues,
As we navigate through this challenging COVID-19 time period, SCMR continues to provide the CMR community with tools and resources. In this issue of the
SCMR News
please read about our featured member, Dr. Shafkat Anwar and his team’s 3D printing initiative, SCMR’s expanded free resources to support physician trainees and engage new colleagues to learn CMR, and
the
SCMR Guidance for the Practice of CMR During the COVID-19 Pandemic
.
I am also excited to welcome Dr Manish Motwani MB ChB, PhD, FSCMR as our
SCMR News Editor
. We are fortunate to have his leadership and look forward to reading future editions.
Please continue to monitor the
SCMR’s COVID-19 Preparedness Toolkit
for timely updates. We will provide guidance for CMR departments as the COVID-19 situation continues to evolve.
Sincerely,
James Carr, MD, FSCMR
President of the SCMR
|
|
|
SCMR Guidance for the Practice of CMR During the COVID-19 Pandemic
|
The aim of this document
(lead authors: Tiffany Chen, Yuchi Han)
is to provide general guidance and specific recommendations on the practice of cardiovascular magnetic resonance (CMR) in the era of the COVID-19 pandemic. There are two major considerations. First, continued urgent and semi-urgent care for the patients who have no known active COVID-19 should be provided in a safe manner for both patients and staff. Second, when necessary, CMR on patients with confirmed or suspected active COVID-19 should focus on the specific clinical question with an emphasis on myocardial function and tissue characterization while optimizing patient and staff safety.
As the situation is rapidly evolving, recommendations will be updated continuously and provided online in the SCMR’s COVID-19 Preparedness Toolkit
https://scmr.org/page/COVID19
[
4
]. The recommendations are summarized in Fig.
1
.
|
|
|
Announcing SCMR's New Newsletter Editor
|
I am honored to accept this new role of SCMR Newsletter Editor. I hope to invigorate our monthly newsletter and bring you up-to-date, high-quality content relevant to all our members – from newbies to masters.
Briefly, my background: I am a cardiologist, physician-scientist & co-director of the cardiovascular imaging program at Manchester Heart Centre in the UK. I have multimodality experience in CMR, CT, PET and echocardiography with fellowships both in the UK and USA. Obviously, CMR is my favorite (as I am sure it is yours!) but the field of cardiovascular imaging is huge and I hope this background gives me the breadth of knowledge to put the latest CMR news and science into a wider context for you each month. Most importantly, the newsletter will be for its members and I wish it to be interactive between issues (the magnet is always on after all) - so, I would like to highlight the
SCMR blog
where you can post questions, comments, suggestions and your own news stories - we will highlight those of interest each month. Each month we will also highlight the work of our
committees, specialist interest groups
and various success stories of members from around the world. Finally, we provide many links to updated educational materials, recorded webinars and live online events - so please follow these to get the best CMR content each month.
I look forward to all your future contributions and interest.
Manish Motwani, MB ChB, PhD, FSCMR
|
|
|
3D Printing in Healthcare in Response to the COVID-19 Crisis
|
The COVID-19 pandemic has exposed several deficiencies within healthcare systems. Key problems hampering the COVID-19 response have been limited testing supplies and personal protective equipment (PPE) for healthcare workers (HCW), and ventilators for patients. As frontline HCWs and researchers work under these challenging conditions, innovators have rapidly pivoted to 3D printing (3DP) technologies as a response.
|
|
|
Call for Applications: ACC’s Clinical Trial Research: Upping Your Game
|
The American College of Cardiology is seeking applicants for its expanded Clinical Trials Research: Upping Your Game program. Selected learners will participate in a year-long curriculum on clinical trials research, network with nationally recognized clinical trialists, investigators, regulatory stakeholders and industry leaders, and develop a personal career action plan. Through this effort, the ACC strives to ensure diversity of thought, experience and perspective and ensure the evidence base includes data more closely reflecting the demographics of actual cardiovascular patients.
Applications Due: May 30, 2020
|
|
|
COVID-19 Associated Myocarditis
|
There are now a small number of published COVID-19 associated myocarditis cases that utilised CMR in the diagnosis. Interestingly, in 3 of these 6 cases there was no definite respiratory involvement. Only 1 case proceeded to myocardial biopsy which confirmed inflammation but did not detect viral material; and at the time of writing, there remains no published reports of
SARS‐CoV‐2
viral particles or RNA in the myocardium of COVID-19 patients. At present, it is unclear if the myocardial injury in these cases relates to hematogenous or lymphatic dissemination of the virus from the lungs; or whether it relates to an exaggerated immuno-inflammatory response that may justify the use of corticosteroids. There is no doubt we will be seeing more of these cases both acutely and incidentally in the future as elective CMR scanning recommences.
|
|
|
These journals have kindly provided full-text access of the cases below:
- Inciardi RM, Lupi L, Zaccone G, et al. Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. Published online March 27, 2020. doi:10.1001/jamacardio.2020.1096
- Yuan WF, et al. An ‘asymptomatic’ driver with COVID-19: atypical suspected myocarditis by SARS-CoV-2. Cardiovasc Diagn Ther 2020;10(2):242-243. doi: 10.21037/cdt.2020.03.08
- Sala et al. Acute myocarditis presenting as a reverse Tako-Tsubo syndrome in a patient with SARS-CoV-2 respiratory infection, European Heart Journal, ehaa286. Published April 8 2020
- In-Cheol Kim, Jin Young Kim, Hyun Ah Kim, Seongwook Han, COVID-19-related myocarditis in a 21-year-old female patient, European Heart Journal, ehaa288. Published 13 th April
- Doyen D, et al. Myocarditis in a patient with COVID-19: a cause of raised troponin and ECG changes [published online ahead of print, 2020 Apr 23]. Lancet. 2020;S0140-6736(20)30912-0. doi:10.1016/S0140-6736(20)30912-0
- Paul et al , Myocarditis revealing COVID-19 infection in a young patient, European Heart Journal - Cardiovascular Imaging, jeaa107. Published April 27 2020
|
|
|
Congratulations to the Newest
2020 SCMR Fellows!
|
|
|
|
|
Fun Virtual Meeting Games
|
If you have been experiencing an overwhelming increase in your virtual meetings, you may be looking for new ways to bond virtually with your distant family, friends and colleagues. Consider adding these virtual games into your life. These game templates are free.
|
|
|
 |
New CMR Case-Based Webinar Series - Coming Soon!
|
The SCMR is coming out with a new
CMR Case-Based Webinar Series
that will occur May 5 - June 18. These webinars will be great for trainees who are interested in extending their case-based education. These anticipated webinars will cover topics such as amyloidosis, iron overload, myocarditis, cardio-oncology, device imaging and more! Each webinar will be approximately 1 hour, cover 3-5 cases, and include an opportunity to ask questions. Stay tuned for more details!
|
|
|
|
Free Educational Content and Resources for a Limited Time
|
Both Members and Non-Members can access the following content for free:
New to CMR Resources
|
|
|
|
|
A 15 year old asymptomatic girl was followed by cardiology for a small perimembranous ventricular septal defect (VSD). A routine echocardiogram demonstrated spontaneous closure of the VSD, as well as right atrial and ventricular enlargement. Significant volume loading from a VSD would cause left heart dilation which was not seen.
|
|
|
|
NUMBER 19-08: Value of Cardiac MRI in Diagnosis and Prognostication in a Case of Relapsing Eosinophilc Granulomatosis with Polyangiitis with Myocardial Involvement
|
A 23-year-old migrant from Zimbabwe presented with a 10 day history of flu-like symptoms, myalgias, chest pain, palpitations, Troponin I of 1.8 mcg/L (normal <0.040) and peripheral eosinophilia of 3.42 x109/L (normal <0.6 x109/L). He had been diagnosed with anti-neutrophil cytoplasmic antibody (ANCA) negative eosinophilic granulomatosis with ...
|
|
|
|
|
April 1 to April 28 #WhyCMR Activity
By Purvi Parwani
|
Each month our social media committee correspondents will update us on the latest #WhyCMR activity stats, most popular tweets or threads. Please join the conversation and use the #WhyCMR in your social media posts!
|
|
|
|
|
|
|
Research
Hyue Mee Kim, et al.
Published on: 23 April 2020
|
|
Research
Aurélien Bustin, et al.
Published on: 16 April 2020
|
|
Research
Shuai Liu, et al.
Published on: 16 April 2020
|
|
Research
Yuanwei Xu, et al.
Published on: 09 April 2020
|
|
Research
Eric D. Carruth, et al.
Published on: 02 April 2020
|
|
Technical Notes
Surendranath R. Veeram Reddy, et al.
Published on: 26 March 2020
|
|
|
|
CMR Literature search
Please
use this link
for a filtered PubMed list of all CMR-related manuscripts for April 2020 – 109 in total!
|
|
SOCIETY OF CARDIOVASCULAR MAGNETIC RESONANCE
| WWW.SCMR.ORG
|
|
|
|
|
|
|
|
